Antosh Danielle D
Department of Obstetrics and Gynecology, Division of Urogynecology, Houston Methodist Hospital, Houston, TX, USA.
Int Urogynecol J. 2024 Dec;35(12):2243-2254. doi: 10.1007/s00192-024-05897-y. Epub 2024 Sep 16.
Lumbosacral discitis and osteomyelitis constitute a rare but devastating complication after mesh sacrocolpopexy for pelvic organ prolapse.
We present a case series of 3 patients at a single institution and a literature review of 30 patients suffering from this complication along with presenting symptoms, evaluation with laboratory and imaging findings, and management.
Lumbosacral discitis can present after sacrocolpopexy of any route (abdominal, laparoscopic, and robotic) and with various suture types and tacking devices. Patients presented with lower back pain at varying time frames and with elevated inflammatory markers, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP).
The majority of cases required both excision of pelvic mesh via laparotomy or laparoscopy in combination with an extended course of intravenous (IV) antibiotics.
腰骶部椎间盘炎和骨髓炎是盆腔器官脱垂行网片骶骨阴道固定术后一种罕见但严重的并发症。
我们报道了一家机构的3例病例系列，并对30例患有该并发症的患者进行文献回顾，内容包括症状表现、实验室及影像学检查结果评估以及治疗方法。
腰骶部椎间盘炎可在任何入路（腹部、腹腔镜及机器人辅助）的骶骨阴道固定术后出现，且与各种缝合类型和固定装置有关。患者在不同时间出现下背部疼痛，炎症指标如红细胞沉降率（ESR）和C反应蛋白（CRP）升高。
大多数病例需要通过开腹手术或腹腔镜手术切除盆腔网片，并联合延长静脉使用抗生素疗程。
